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Lives
Still at Risk
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Generally traffic crash data come from two sources, police accident
reports and medical statistics such as death certificates and hospital
discharge forms. Up until very recently, police accident reports did
not contain data about victims' ethnicity, but that should be changing
with the recent introduction of a new reporting form that contains
fields where such information can be noted.
But the two sources-law enforcement and public health-track victims
separately. For example, when a person is killed in a traffic accident,
the death is recorded on the site as a traffic-related fatality in
a police report. That will contain data about how the crash occurred
and other technical information at the scene that could contribute
to understanding the causes of the crash. But as soon as the scene
is cleared, the data about the victim enters the public health realm.
Here, information such as ethnicity, type of injury, and specific
cause of death is collected, but it is never linked back to the traffic
report. To do so requires another level of analysis, which is rarely
done because it is difficult and expensive.
What data we do have indicate that there is a strong correlation
between socioeconomic status and traffic safety risks. Many studies
show that significant portions of minority
populations-African-Americans, Latinos, and Native Americans in
particular-lag in rates of seat belt use, are more at risk for
impaired driving, and have higher instances of pedestrian injury and
death.
Minority persons also experience disproportionately high rates of
poverty compared to the non-Latino white population. But because data
sources often do not include information about victims' socioeconomic
status, such as education level or income, it is difficult to
determine the role that socioeconomic status plays, compared to race
and ethnicity. This could be useful to know, for example, because
individuals with low incomes tend to live where the traffic
infrastructure-roads, sidewalks, signals-is deteriorated or lacks many
safety measures, as in the case of low-income housing located near
busy truck routes and highways, and rural areas where there are
inadequate sidewalks or traffic signals. At the same time, car
ownership tends to be closely correlated with income, so that poor
people tend to drive less, which would lower their exposure to motor
vehicle crash risks but raise their exposure to pedestrian-related
risks. Being able to determine the importance of ethnicity versus
socioeconomic status would help policymakers better tailor
interventions to reduce risks.
Differences in data collection methods can also prove problematic for
researchers because findings can be distorted by the way the
information is collected. For example, "self-reported" data, where
subjects describe their own behaviors, have produced conclusions quite
different from data obtained through government records or
observational surveys.
Even in a single study, results can be inconsistent when researchers
employ more than one approach in gathering data. In a 1999 Accident
Analysis and Prevention study on traffic safety among Latino farm
workers, data on seat belt use acquired through observation differed
significantly from that obtained through interviews. Eighty-six
percent of interviewed subjects said they wore lap-shoulder belts, but
data gathered through observation of the same farm worker group showed
a seat belt use rate of only 37 percent. Researchers also found major
discrepancies between interviewee responses and observed data during
their analysis of child safety seat use among farm worker groups.
Data that describe differences in drinking and driving behavior among
ethnic groups also vary with the nature of the study. Latinos, Native
Americans, and African-Americans are over-represented in various
drinking-driving populations, according to researched based on blood
alcohol levels, crash reports, and arrest data. Studies using
self-reported data, on the other hand, have concluded that whites have
the highest rates of driving after drinking, followed by Latinos, and
then African-Americans. (In an instance of inconsistent data
collection across ethnic groups, information on Native Americans was
not collected in those studies.) While studies yield varying results depending on research methods and researchers' consideration of possibly contributory factors such as socioeconomic status, the number of studies suggesting a strong link between ethnicity and traffic safety is large enough to determine that, as a whole, members of ethnic minorities are more at risk for traffic-related injury or death. The evidence that Latinos, African Americans, and Native Americans in particular are at a disadvantage on the road is strong enough to warrant continued research and prevention measures and public awareness campaigns tailored to these groups.
Bibliography Stiles MC, Grieshop JI. Impacts of culture on driver knowledge and safety device usage among Hispanic farm workers. Accident Analysis and Prevention. 1999; 31: 235-241.
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